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左冠状动脉主干先天性闭锁1例罕见病例。

A rare case of congenital atresia of the left main coronary artery.

作者信息

Cellina Michaela, Meglio Letizia Di, Marziali Sara, Cè Maurizio, Oliva Giancarlo, Visconti Alessandro, Carrafiello Gianpaolo

机构信息

Radiology Department, ASST Fatebenefratelli Sacco, piazza Principessa Clotilde 3, 20121, Milan.

Postgraduation School in Radiodiagnostics, Università degli Studi di Milano, Via Festa del Perdono, 7, 20122 Milan, Italy.

出版信息

Radiol Case Rep. 2021 Nov 16;17(1):232-234. doi: 10.1016/j.radcr.2021.10.012. eCollection 2022 Jan.

DOI:10.1016/j.radcr.2021.10.012
PMID:34824657
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8605305/
Abstract

Congenital atresia of the left main coronary artery is a rare coronary anomaly, in which the left coronary ostium is absent and the blood supply to the entire heart is provided by the right coronary artery. We show the images of the coronary CT angiography performed by a 56-year-old man, with evidence of this vascular abnormality. Coronary CT Angiography has gained a major role in coronary anomalies assessment, thank to high spatial and temporal resolution.

摘要

左冠状动脉先天性闭锁是一种罕见的冠状动脉异常,其特点是左冠状动脉口缺失,整个心脏的血液供应由右冠状动脉提供。我们展示了一名56岁男性进行冠状动脉CT血管造影的图像,证实了这种血管异常。由于具有高空间和时间分辨率,冠状动脉CT血管造影在冠状动脉异常评估中发挥了重要作用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7679/8605305/0a1a02537c61/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7679/8605305/d3543a263561/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7679/8605305/0b9172bb4b58/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7679/8605305/ab6ba7fea889/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7679/8605305/0a1a02537c61/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7679/8605305/d3543a263561/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7679/8605305/0b9172bb4b58/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7679/8605305/ab6ba7fea889/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7679/8605305/0a1a02537c61/gr4.jpg

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2
Left circumflex artery fistula to left atrium: a rare case report.左旋支动脉至左心房瘘:一例罕见病例报告。
Radiol Case Rep. 2021 Jun 8;16(8):1985-1987. doi: 10.1016/j.radcr.2021.04.081. eCollection 2021 Aug.
3
Fistula from right and left coronary arteries to pulmonary artery: Coronary CT angiography and coronary angiography findings.
从左右冠状动脉至肺动脉的瘘管:冠状动脉CT血管造影及冠状动脉造影结果
Radiol Case Rep. 2021 May 5;16(7):1790-1793. doi: 10.1016/j.radcr.2021.04.014. eCollection 2021 Jul.
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CT features of an uncommon association between coronary-pulmonary fistula and Vieussens' arterial ring.冠状动脉-肺瘘与维厄桑斯动脉环罕见关联的CT特征
Diagn Interv Imaging. 2020 Jul-Aug;101(7-8):499-500. doi: 10.1016/j.diii.2020.03.013. Epub 2020 Apr 9.
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Congenital atresia of left main coronary artery.左冠状动脉先天性闭锁
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True congenital atresia of the left main coronary ostium: delayed presentation.左冠状动脉主干开口真正的先天性闭锁:延迟表现。
Asian Cardiovasc Thorac Ann. 2018 Jan;26(1):54-56. doi: 10.1177/0218492317739473. Epub 2017 Oct 23.
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Pediatr Cardiol. 2012 Mar;33(3):434-8. doi: 10.1007/s00246-012-0168-0. Epub 2012 Feb 10.
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